[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-1-psychiatric-community-039":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":22},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"freq":10},"nurse-106-1-精神科與社區衛生護理學-039","nurse-106-1-psychiatric-community-039",106,1,39,"李先生受被害妄想影響，認為有人要對他不利，拿出身上預藏的水果刀表示要傷害對他不利的人，下列處置何項最適切？",{"A":14,"B":15,"C":16,"D":17},"尋求人力支援，立即取走個案手上的水果刀","狀況緊急，在等待支援人力之時，請病人、家屬協助處置","口頭斥喝李先生要立即放下刀子","告知李先生沒有人要對他不利，請李先生將水果刀交給工作人員","A",null,[],"本題考點在暴力風險情境下的優先處置。李先生受被害妄想影響、持水果刀揚言傷人,已構成立即危及他人安全的緊急狀況,首要處置是尋求人力支援、並在確保安全下立即取走危險物品(水果刀),以消除立即傷害風險,故選A。B在等待支援時「請病人、家屬協助處置」危險,不應讓非專業者暴露於刀械風險。C口頭斥喝易激化對立、增加衝動攻擊風險,違反去激化(de-escalation)原則。D在對方持刀情緒激動時單以言語否定其妄想(「沒有人要害你」)並要求交刀,無濟於化解且可能觸怒病人,故三者皆未能有效降低立即的安全威脅。",[23,26,30,34,38,42],{"webId":24,"stem":25,"number":10,"year":9,"session":10},"nurse-106-1-psychiatric-community-001","精神衛生法中規定經專科醫師診斷或鑑定屬嚴重病人者，應置保護人 1 人，專科醫師並應開具診斷證明書交付保護人。保護人應考量嚴重病人利益。條文中的保護人可為下列何人？①監護人 ②同居人 ③配偶 ④父母 ⑤家屬 ⑥心理輔導專家 ⑦法定代理人",{"webId":27,"stem":28,"number":29,"year":9,"session":10},"nurse-106-1-psychiatric-community-002","護理師在精神科病房帶領團體治療，病友在團體中感謝其他病人對他的接納與信任，分享他從團體中體驗到人與人之間是可以相互信賴，此活動運用下列何項精神護理概念模式？",2,{"webId":31,"stem":32,"number":33,"year":9,"session":10},"nurse-106-1-psychiatric-community-003","一位從小被父親性侵至大學的 20 歲女大學生，因出現自傷行為而住院。主護護理師與之會談，談及家庭時，認為爸爸是愛她的，承認父親性侵她卻完全記不起來任何一次性侵的過程。但有時突然大哭時卻能詳細說出父親性侵她的過程。此種心理防衛機轉最有可能是下列何項？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-106-1-psychiatric-community-004","下列有關精神障礙病人的權利，何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":10},"nurse-106-1-psychiatric-community-005","謝先生因思覺失調症（schizophrenia）住院，在許護理師上班時經常對她出現吵鬧、依賴或討好等行為，許護理師了解這是謝先生對自己的情感轉移，進而提供適當的護理措施，下列何者最不適宜？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":10},"nurse-106-1-psychiatric-community-006","臨床上發現病人有問題行為而需進行行為治療時，護理師在評估病人的問題行為時，應主要觀察的內容，下列何項正確？①在何種情況下（行為前情境）②病人出現何種行為 ③家人的感受 ④行為之後產生什麼結果",6,1783840735062]